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General NPI Number Information
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NPI Number | 1811206535
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Entity Type | Individual
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Provider Name | NATHALIE LEROY MD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 11645 BISCAYNE BLVD STE 308
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City | MIAMI
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State | FL
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Zip | 33181-3139
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Country | US
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Telephone | 305-538-8835
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Fax | 305-994-0054
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Provider Business Mailing Address
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Address Line | 11645 BISCAYNE BLVD STE 207
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City | MIAMI
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State | FL
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Zip | 33181-3138
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Country | US
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Telephone | 305-538-8835
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Fax | 305-994-0054
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME108245
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License Number State | FL
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